Subject: PACT ACT roll out in VISN 17, and the healthcare benefits issues of Gulf war veterans
Date: Fri, 16 Dec 2022 06:38:24 -0600
From: Kirt <>
To: RAC <>, Denis McDonough <>

Dear RAC, and Sec Denis McDonough

I attended the PACT act role out at the Temple VAMC on December 15th 2022.

Starting right off, great turn out for the circumstances, and the staff there are some
of the finest folks the Temple VAMC has ever had. The OIF element over the years
ended up bringing in some unique folks with good intent. So they really tried and
it showed with the quite civil circumstances.

For me, I played observer, and did not take pictures to give these folks a chance.
The turn out was such that I didnt want to poison this venture in any way. But,
I also didnt see a long term outlet for the veterans to address concerns publicly.
No public forum, no open room discussions. This was meat to be solemn, quiet,
and one on one.

What was not understood by the veteran crowd was how much of this was contingent
on Environmental Health and the Registry programs. There is much confusion about
a Toxic Exposure exam because it presents itself as a separate entity, and that in the
end it comes back to Gulf war registry or ABHOR. Which also behave every different
from C&P exams even though they try to bridge this. I would know having spent the
last year doing the whole thing start to finish. having finally concluded my ABHOR exam
last week. Which in the end was every bit as insulting as my WRIISC exam months ago.

Im writing the RAC because your the only game in town, and no other outlets for Gulf
war vets. This ends up being healthcare, benefits, and research issues. Because of the
new HOME system and mutual computer programs bridging EH, VHA, and VBA. As I
got the demonstration of the software during my ABHOR ( Burn Pit ) exam.

Im in a strange paradox here in VISN 17 between the ABHOR, Camp Legune, PACT act,
and other over laps that isnt well defined here just yet. I spent the roll out day mostly
observing and getting a feel for the situations. But, there was a huge effort to keep this
individualized and not a public forum style event. But, Gulf War is very much a part of this
and it was played down as well. We are mentioned, and it stops there.

I never heard back from VA on the data base issues with ABHOR exams and Gulf war
vets needing help. Like with the CRUR or auto populating location fields. As far as I
can tell VA blew this off. Who cares if we get past this screen. HOME never got back
to me on this. Which clearly means VA does NOT care.

As far as EH in Temple, they panicked when your office contacted them about this
and made it about them. I had to spend time on the folks with the VAMC assuring them
that my concern was with policy from above, not how the Temple VAMC followed policy.
But, I also made sure they got to observe my communications with DC and see how
it was handled. Because in the end, its up to VISN 17 to make this work down here.
These folks are on there own down here with a broken system they have to use. As
they see ABHOR in action with me.  In fact, EH here has the best team ever but its
crippled by policy and procedure. Its not fair to them and will drive off good folks.

My concern is, what the HOME database will provide medical research and benefits
given its very narrow window and limited collection methods. Everyone is being
funneled through this portal, but its not collecting consecutive long term hard evidence.
Soon, the media will pick up on this and then the NIH ABHOR report.

Ive run the gambit in all this from Gulf War Registry, WRIISC referral, WRIISC exam,
and ABHOR exam in the last year. I have fresh insight from the bottom up on this
and other aspects. Yet, Im still being ignored like its resolved. Nothing has
changed for me, and I really didnt benefit other than fresh insight. If anything, my
symptoms have returned and Im pretty sure what head way I made Ive lost to some
kind of infection that has thwarted a year of improvements. A virus, bacteria, or parasite
that has evaded detection by currents standards and these very programs. Im really
tired of being miserable for 30+ years now with this damn thing.

I have to run this through the RAC which will end up making this very material part of
there up coming meeting. But, pretend I myself dont exist and not address me. So damned
if I do, and damned if I dont. No where else to go with this.

As you can tell, this story is growing. Its getting around VISN 17. Its getting to vets in
the room that talk to me at these events. Each PACT act event you will have me in the
room trying to find middle ground. Only, by then people start getting there rejection
letters from VBA and not finding answers at VA EH. I see big problems ahead in
2023 as VA tries to lump too much into one heading and find its stalling due to complexity.

I cant save the system, but I can help save VISN 17, and give them a chance. At some
point they will see the bottleneck, and speak up in unison. This is all paradoxes for me
having to hurry up, and wait more for others to catch up. Im there, I just need others to
see it for themselves.

We need a GWI healthcare and benefits representation in DC. We havent for along time
now. We need public monthly and annual reports telling us are present conditions including
mortality that is implied by the PACT act. We need to resolve the CFR 38 ss 3.317 service
connection debates. We need actual interaction with VA that shows someone heard us.

I have so much more to add, but need to keep this manageable. Im not going away, and
so far I dont think Im raving either. Lets work on improving all this, and stop the one sided
firewall VA has up right now. 2023 shows change is coming either way.

Thank you for your time and consideration.

                                                                                                        Kirt P. Love
                                                                                                        Director, DSBR
                                                                                                            Former member VA ACGWV
                                                                                                            P.O. Box 414
                                                                                                            Crawford, Texas 76638